| NPI | 1467770552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0102205478) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY R2343) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2021-01-28 |